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Dual Eligible Special Needs Plans(D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) offer the benefits of Medicare Advantage at an inexpensive cost to those eligible. You qualify for this plan if you are “dually eligible” for both Medicare and Medicaid.


D-SNP Eligibility Requirements

According to the Center for Medicare and Medicaid Services (CMS), you are eligible for a D-SNP plan if:

  • You are receive Full Medicaid benefits

  • You are a Qualified Medicare Beneficiary without other Medicaid (QMB Only)

  • You receive QMB Plus

  • You are a specified Low-Income Medicare Beneficiary without other Medicaid (SLMB Only)

  • You receive SLMB Plus

  • You are a Qualifying Individual (QI)

  • You are a Qualified Disabled and Working Individual (QDWI)

Coverage and Benefits

Because D-SNP plans are a form of Medicare Advantage, you will receive many of the same benefits. You will also receive all of the coverage of Original Medicare (Parts A and B), including short-term emergency and medical care. Some of the additional Advantage benefits may include:

  • $0 monthly premiums

  • Care coordination

  • Vision and hearing benefits

  • Over the counter quarterly benefits

  • Transportation benefits

  • Telehealth services

  • Gym memberships

  • Part D coverage

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